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Calvin Arrant v. Wayne Acree Pls, Inc. & Louisiana Workers' Compensation Corporation
187 So. 3d 417
La.
2016
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Background

  • Calvin Arrant, injured in a 2012 work-related vehicle accident, sought a lumbar MRI recommended by his treating orthopedist; LWCC denied authorization and the medical director upheld the denial via facsimile in Sept. and Oct. 2012.
  • Arrant filed a Disputed Claim for Compensation (Form 1008) with the Office of Workers’ Compensation (OWC) on May 1, 2013 seeking review and reimbursement after his attorney paid for the MRI.
  • The OWC sustained defendants’ peremptory exception of prescription, holding Arrant failed to file the Form 1008 within the 15-day filing period set by LAC 40:I.2715(B)(3)(f); the Second Circuit affirmed.
  • The Louisiana Supreme Court granted certiorari limited to whether the OWC director could shorten a legislatively prescribed prescriptive period by administrative rule.
  • The Supreme Court held the administrative 15-day rule was ultra vires because the Legislature had directly prescribed the prescriptive period for medical benefits in La. R.S. 23:1209(C); it reversed the prescription ruling and remanded for OWC to decide the merits of Arrant’s claim.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether the OWC director could create a 15-day prescriptive period by administrative rule for filing a Form 1008 after the medical director’s decision Arrant: the admin rule cannot shorten or override the Legislature’s one-year prescriptive period for medical benefits in La. R.S. 23:1209; the director lacked power to designate prescription Defendants: the director properly exercised delegated rulemaking authority (La. R.S. 23:1291 and 23:1203.1) to create a 15-day appeal window to effectuate efficient resolution Held: Administrative rule is ultra vires as to prescription; Legislature directly spoke on the prescriptive period in La. R.S. 23:1209, so the 15-day administrative rule cannot bar the claim
Consequence of missing the 15-day administrative appeal period — whether claim is extinguished and cannot be refiled Arrant: allowing the admin rule to extinguish claims would unfairly deprive access to statutorily protected medical benefits and create res judicata barriers Defendants: the administrative 15-day limit serves the statute’s efficiency goals; failure to comply supports dismissal as untimely Held: Court rejected using the admin rule to extinguish Arrant’s statutory claim; judgment sustaining prescription was vacated and matter remanded for merits review (administrative deadline cannot override statutory prescription)

Key Cases Cited

  • Bailey v. Khoury, 891 So.2d 1268 (La. 2005) (principle that a judgment sustaining prescription is final and appealable)
  • Bouterie v. Crane, 616 So.2d 657 (La. 1993) (discussion of prescription as a mode of barring actions)
  • State v. Alfonso, 753 So.2d 156 (La. 1999) (administrative delegation valid when statute provides clear policy and standards)
  • Chevron U.S.A., Inc. v. Nat. Res. Def. Council, Inc., 467 U.S. 837 (U.S. 1984) (agency deference framework when statute ambiguous)
  • Midtown Medical, LLC v. Dept. of Health & Hosp., 135 So.3d 594 (La. 2014) (agency statutory interpretation precedent)
  • Church Mut. Ins. Co. v. Dardar, 145 So.3d 271 (La. 2014) (background on purpose of La. R.S. 23:1203.1 and medical treatment schedule)
  • Sims v. American Ins. Co., 101 So.3d 1 (La. 2012) (effect of dismissal with prejudice as final judgment)
Read the full case

Case Details

Case Name: Calvin Arrant v. Wayne Acree Pls, Inc. & Louisiana Workers' Compensation Corporation
Court Name: Supreme Court of Louisiana
Date Published: Jan 27, 2016
Citation: 187 So. 3d 417
Docket Number: 2015-C -0905
Court Abbreviation: La.